Pre-licensing visit·July 20, 2022

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold met with Applicant Collen Rasmussen, to conduct an unannounced pre-licensing inspection. LPA toured the facility bedrooms, common rooms and grounds. Facility has a total of nine bedrooms for residents. All doorways and walkways are unobstructed and facility is clean, in good repair and at a comfortable temperature. Hot water measured within acceptable range between 105 and 120 degrees F. at faucets accessible to residents. There are games and space for resident activities. There is an outdoor space with shade for residents and the yard is fully enclosed. Facility has a drawer in the kitchen to lock knives and other items dangerous to residents with dementia diagnosis. There are also locked closets containing toxins and cleaning supplies. LPA observed a good supply of back up linens and toiletries, and the kitchen is stocked with an ample supply of fresh and non-perishable foods per regulation. Facility has pull station alarms and sprinkler system. Fully charged fire extinguishers, operable smoke alarms and carbon monoxide detectors were also in place. There was plenty of dishware and utensils. All appliances were in place and working. All required postings were posted at the entrance and throughout the facility. Medications are centrally stored in a locking cabinet. Medications were found separated by resident and well organized. There is a secure storage area for resident records. Applicant will provide evidence of Liability insurance to the central application unit analyst when received from insurance agent. LPA conducted a Component III Orientation with applicant, and the applicant has shown that they have a good understanding of Title 22, and have appropriate knowledge to operate a residential facility. LPA found this facility ready to be licensed. LPA will submit application to Licensing Program Manager for review.